FISCAL NOTE
Date Requested: February 03, 2026
Time Requested: 05:13 PM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 3372 |
Introduced |
HB5153 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
PEIA Basic Insurance
Sources of Revenue:
Special Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to provide insurance coverage for GLP-1 class medications with a valid script. Although PEIA is not currently impacted by this bill due to its reference to Chapter 33 entities only, it is providing an estimate. PEIA interprets this bill to require coverage of GLP1 prescriptions for the treatment of obesity. Assuming a 41.40% obesity rate and a net cost of $499 per prescription at 30% utilization would increase PEIA costs $13.5 million per month and $162 million annually.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2026
Increase/Decrease
(use"-") |
2027
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
0 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
Although PEIA is not currently impacted by this bill due to its reference to Chapter 33 entities only, it is providing an estimate. PEIA interprets this bill to require coverage of GLP1 prescriptions for the treatment of obesity. Assuming a 41.40% obesity rate and a net cost of $499 per prescription at 30% utilization would increase PEIA costs $13.5 million per month and $162 million annually.
Memorandum
Please identify any areas of vagueness, technical defects, reasons a bill would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.
Person submitting Fiscal Note: Jason Haught
Email Address: jason.a.haught@wv.gov